Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1356447155

Unknown Individual is a healthcare provider. based in Fort lauderdale, Florida. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. ME13933 (FL). The NPI Number for Unknown Individual is 1356447155

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356447155
Phone
(954) 776-0191
Address
1820 E COMMERCIAL BLVD
Deactivation Date
27 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1964 (62 years ago)
PAC ID
8729261441
Professional Enrollment ID
I20110317000626
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1820, East Commercial Boulevard, Coral Hills, Fort Lauderdale, Broward County, Florida, 33308, United States

    FORT LAUDERDALE, FL 333083725

    Phone: (954) 776-0191

    Fax: (954) 776-0430

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33308)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1356447155 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Fort Lauderdale, Florida for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1356447155. Always confirm identity and privileges with the practice and licensing boards.

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